Dialysis access management

A dialysis fistula or graft only works if it stays open, and a failing access is a medical urgency. We monitor, maintain, and restore access so treatment is not interrupted.

What's Involved

Access surveillance — Ultrasound and flow assessment to detect narrowing before it fails.
Angioplasty and thrombectomy — Opening a narrowed access or clearing a clotted one.
Coordination — Working directly with your nephrologist and dialysis centre.

When to Come In

Difficulty with dialysis — Prolonged bleeding, low flows, or repeated alarms.
A change in the thrill or bruit — The buzz over the access feeling weaker or different.
Arm swelling — Swelling on the access side, which suggests outflow obstruction.

This content is for general information only and isn't medical advice. Results vary from person to person, so talk with your eye doctor about your own eyes. If you have a medical emergency, call 911.